Chavez, Eric Martin

Chavez, Eric Martin is an individual health care provider with primary practice located at 3801 S National Ave West Tower, Suite 700, Springfield MO 65807-5210. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Chavez, Eric Martin can be contacted via phone (417) 885-3888.

Contact Information

Primary practice address
3801 S National Ave West Tower, Suite 700 Springfield MO 65807-5210
Phone: (417) 885-3888
Fax: (417) 520-5959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2010008194 Missouri

Profile Details

NPI number 1609823079
LBN Legal business name Chavez, Eric Martin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Oct 4th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609823079 NPPES
Missouri Other 2010008194 BOARD CERTIFIATION
Missouri Other P01050641 BOARD CERTIFIATION
Missouri Other 431560263 BOARD CERTIFIATION

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